Diversified Social Services, Inc. in Dalton Gardens - Community/behavioral Health

Diversified Social Services, Inc. - NPI 1720141906

Diversified Social Services, Inc. is a Community/behavioral Health in Dalton Gardens, Idaho. Diversified Social Services, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Diversified Social Services, Inc. is 1720141906. The last update date is 2020-08-22.

Diversified Social Services, Inc.'s current location address is 5624 N Government Way Ste 7b, Dalton Gardens, Idaho. You can contact this provider via phone number 2087629890 and fax number 2087629892. The mailing address for Diversified Social Services, Inc. is 5624 N Government Way Ste 7b, Dalton Gardens, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Diversified Social Services, Inc.
Address 5624 N Government Way Ste 7b, Dalton Gardens, Idaho
Phone Number 2087629890
Fax Number 2087629892
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Nicholas Anderson Kristina
Credentials LSW, CPRP
Telephone Number 2087629890

NPI Number Detail

NPI Number 1720141906
Provider Enumeration Date 2006-12-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5624 N Government Way Ste 7b
City Dalton Gardens
State Idaho (ID)
Post Code 838157350
Phone Number 2087629890
Fax Number 2087629892

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

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FAQs about Diversified Social Services, Inc.

What is the unique 10-digit identifier code issued to Diversified Social Services, Inc. by the Centers for Medicare & Medicaid Services?

The Diversified Social Services, Inc. has been assigned the NPI (National Provider Identifier) 1720141906 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Diversified Social Services, Inc.'s physical address?

The Diversified Social Services, Inc. is physically located at 5624 N Government Way Ste 7B, in the city of Dalton Gardens, ID, with the postal code 838157350.

What is Diversified Social Services, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Diversified Social Services, Inc.'s specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720141906 to Diversified Social Services, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1720141906 to Diversified Social Services, Inc. on 2006-12-18.

As of what date were the Diversified Social Services, Inc.'s details last updated?

The information pertaining to the Diversified Social Services, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.

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